Effects of aerobic exercise and resistance training on lipid profiles and inflammation status in patients on maintenance hemodialysis.
TLDR
Both intradialytic aerobic and resistance exercises showed beneficial effects on inflammation status without any influences on serum lipid levels probably due to short duration of the study which was not accompanied with body weight changes.Abstract:
Physical function limitation is a common disorder in chronic hemodialysis (HD) patients, relating to increased morbidity and mortality. The aim of this study was to determine the effects of aerobic and resistance trainings on blood lipids and inflammation status in HD patients. Out of 30 volunteer males who had been undergoing conventional maintenance HD within an HD unit in Tehran, 21 subjects were enrolled. They were randomly assigned into aerobic exercise group – resistance training group undergoing an 8-week intradialytic exercise program (three times/week) and control group (n = 7, each). Training program consisted of 10-30 min stationary cycling at an intensity of 12–16 out of 20 at the rate of perceived exertion (RPE) of Borg scale in aerobic group and using ankle weights for knee extension, hip abduction and flexions at an intensity of 15–17 out of 20 at the RPE of Borg scale in resistance group. Fasting blood samples for serum biochemistry were drawn at baseline and 8 weeks. The age, HD duration, and physical activity score were 51.6±18.9yrs; 25.1±13.9 mo, and 19.2±7.6, respectively. Diabetes mellitus (43%), hypertension (28%), and obstructive uropathy (14%) were the most common underlying diseases. Aerobic and resistance exercises were correlated with serum creatinine (P 0.05). Both intradialytic aerobic and resistance exercises showed beneficial effects on inflammation status without any influences on serum lipid levels probably due to short duration of the study which was not accompanied with body weight changes. Solute removal had no change during exercise programs. There is a need for more investigation on the role of exercise in HD patients.read more
Citations
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Intradialytic exercise in hemodialysis patients: a systematic review and meta-analysis.
TL;DR: A meta-analysis of the published randomized controlled trials for HD patients found that intradialytic exercise can improve Kt/V, VO2peak, and the physical quality of life, and intradialskeletal exercise is safe forHD patients.
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Physical inactivity: A risk factor and target for intervention in renal care
Dorien M. Zelle,Gerald Klaassen,Edwin J van Adrichem,Edwin J van Adrichem,Stephan J. L. Bakker,Eva Corpeleijn,Gerjan Navis +6 more
TL;DR: Behavioural approaches are now recognized as crucial in helping patients to adopt lifestyle changes and might prove valuable in integrating physical activity into renal care and therefore provide an approach to address the multimorbidity of the CKD population.
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Effects of exercise in the whole spectrum of chronic kidney disease: a systematic review.
TL;DR: Evidence is strongest for the effects of aerobic exercise on improving physical fitness, muscular strength and quality of life in dialysis patients, and the best exercise protocol for CKD patients also remains to be established.
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Impact of physical activity on inflammation: effects on cardiovascular disease risk and other inflammatory conditions.
Sibel Ertek,Arrigo F G Cicero +1 more
TL;DR: Although the most beneficial type of activity and the most relevant patient group for anti- inflammatory benefits are still not clear, studies in elderly and adult people generally support anti-inflammatory effects of physical activity and moderate exercise could be advised to patients with cardiovascular risk such as patients with metabolic syndrome.
Journal ArticleDOI
Effects of intradialytic exercise on the physical function, depression and quality of life for haemodialysis patients: a systematic review and meta-analysis of randomised controlled trials.
TL;DR: This study suggests that performing intradialytic exercises for 30 minutes per session three times a week for at least ≥8 weeks is beneficial and regular exercise should be considered a crucial therapeutic modality for patients undergoing haemodialysis.
References
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Journal ArticleDOI
Effects of Resistance Exercise Training and Nandrolone Decanoate on Body Composition and Muscle Function among Patients Who Receive Hemodialysis: A Randomized, Controlled Trial
Kirsten L. Johansen,Patricia Painter,Giorgos K. Sakkas,Patricia L. Gordon,Julie Doyle,Tiffany E. Shubert +5 more
TL;DR: Nandrolone decanoate and resistance exercise produced anabolic effects among patients who were on hemodialysis, and exercise was associated with an improvement in self-reported physical functioning compared with nonexercising groups.
Journal ArticleDOI
Progressive Exercise for Anabolism in Kidney Disease (PEAK): A Randomized, Controlled Trial of Resistance Training during Hemodialysis
Bobby Cheema,Haifa Abas,Benjamin Smith,Anthony J O'Sullivan,Maria F. Chan,Aditi Patwardhan,John J Kelly,Adrian Gillin,Glen Pang,Brad Lloyd,Maria A. Fiatarone Singh +10 more
TL;DR: It is suggested that patients with ESRD can improve skeletal muscle quality and derive other health-related adaptations solely by engaging in a 12-wk high-intensity PRT regimen during routine hemodialysis treatment sessions.
Journal ArticleDOI
Medical outcomes study short form-36: a consistent and powerful predictor of morbidity and mortality in dialysis patients
TL;DR: This cross-sectional study tested the hypothesis that the Physical Component Summary and Mental Component Summary scales of the MOS SF-36 predict morbidity and mortality rates among dialysis patients and found that PCS and MCS were consistent predictors of hospitalizations and deaths even after adjustment for clinically relevant factors.
Journal ArticleDOI
Exercise training in patients with end-stage renal disease on hemodialysis: comparison of three rehabilitation programs.
Erasmia Konstantinidou,Georgia Koukouvou,Evangelia Kouidi,Asterios Deligiannis,Achilleas Tourkantonis +4 more
TL;DR: It is demonstrated that intense exercise training on non-dialysis days is the most effective way of training, whereas exercise during HD is also effective and preferable.